Readmission Review Nurse

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🕒 March 13

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FairCode Associates, LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2001

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

FairCode Associates, LLC is a healthcare consulting firm that specializes in optimizing inpatient documentation and reimbursement through physician-led chart reviews and advanced data analytics. Since its inception in 2001, the company has partnered with hospitals to enhance the accuracy of Diagnosis-Related Group (DRG) assignments, significantly impacting patient acuity and financial outcomes. With a team of experienced physicians and data scientists, FairCode ensures that all selected charts undergo meticulous reviews to minimize coding errors and improve compliance, ultimately resulting in substantial savings for healthcare providers.

📋 Description

• Communicate timely with supervisor and client regarding review findings. • Communicate initial findings for purposes of DRG calculations of recommended changes resulting from combining the stays for coding / payment purposes. • Prepare written report for positive findings and communication comments on tracking sheet for negative findings. • Monitor tracking sheet for outstanding medical records and keep supervisor informed at least every 14 days of outstanding medical records. • Maintain current documentation of processes. • Participate in other activities as assigned.

🎯 Requirements

• An RN with a minimum of 3-5 years experience in Utilization Management in a health plan or hospital setting. • Case Management or discharge planning experience would be a plus but not required. • Must be able to write reports to provide relevant medical record documentation and criteria-based findings. • Excellent written and verbal communication skills, and the ability to work independently with minimal supervision. • Working knowledge of Microsoft products such as Microsoft Word, Excel, and Outlook; however, MAC documents compatible for Microsoft conversion can be utilized.

🏖️ Benefits

• Remote Position: Enjoy the convenience of working from home or anywhere in the U.S. • Work-Life Balance: We encourage a healthy balance between your professional and personal life. • Supportive Team: Join a team of dedicated professionals who value innovation, collaboration, and excellence.